Individual
MRS. JEANINE NICOLE HUNDRIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
18223 E 10 MILE RD, SUITE 100, ROSEVILLE, MI 48066-5821
(586) 778-5880
(586) 778-4362
Mailing address
18223 E 10 MILE RD STE 100, ROSEVILLE, MI 48066-5821
(586) 778-5880
(586) 778-4362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005042
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601005042
LICENSE
MI
Enumeration date
06/13/2007
Last updated
12/12/2024
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